| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | PO BOX 896620 CHARLOTTE, NC 28289 | CIGNA HEALTH AND LIFE INSURANCE COMPANY | — | $20K | $20K | 1.84% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 1500 RIVERFRONT DRIVE LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $5K | — | $5K | 10.09% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 Filed as: BOON-CHAPMAN BENEFIT ADMINISTRATORS | PO BOX 9201 BLDG I SUITE 100 AUSTIN, TX 78766 | METROPOLITAN LIFE INSURANCE COMPANY | $9K | $2K | $11K | 25.78% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 7701 AIRPORT CENTER DR STE 1800 GREENSBORO, NC 27409 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $540 | $2K | 4.33% |
| GIS BENEFITS INC3 Filed as: GIS OF ILLINOIS | 422 WAUPONSEE STREET, MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | — | $443 | $443 | 1.08% |
| MARK METILLE3 | 422 WAUPONSEE STREET, MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $388 | $2K | 12.30% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $1K | $121 | $2K | 10.46% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET, MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $721 | $154 | $875 | 6.01% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS5 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $658 | $658 | 4.52% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC. | 1500 RIVERFRONT DRIVE LITTLE ROCK, AR 72202 | DELTA DENTAL PLAN OF ARKANSAS | $1K | — | $1K | 10.00% |
| MARK METILLE3 | 422 WAUPONSEE STREET, MORRIS, IL 60450 | METROPOLITAN LIFE INSURANCE COMPANY | $933 | $237 | $1K | 16.91% |
| MCGRIFF INSURANCE SERVICES INC3 Filed as: MCGRIFF INSURANCE SERVICES, INC | PO BOX 896620 CHARLOTTE, NC 28289 | METROPOLITAN LIFE INSURANCE COMPANY | $933 | $75 | $1K | 14.57% |
| GIS BENEFITS INC3 | 422 WAUPONSEE STREET, MORRIS, IL 604502215 | METROPOLITAN LIFE INSURANCE COMPANY | $352 | $77 | $429 | 6.20% |
| BOON CHAPMAN BENEFIT ADMINISTRATORS3 | PO BOX 9201 AUSTIN, TX 787669201 | METROPOLITAN LIFE INSURANCE COMPANY | — | $323 | $323 | 4.67% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 156 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 0 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 156 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | CIGNA HEALTH AND LIFE INSURANCE COMPANY | 115 | $1.1M |
| Dental | DELTA DENTAL PLAN OF ARKANSAS | 187 | $54K |
| Vision | DELTA DENTAL PLAN OF ARKANSAS | 159 | $14K |
| Life insurance | METROPOLITAN LIFE INSURANCE COMPANY | 155 | $41K |
| Short-term disability | METROPOLITAN LIFE INSURANCE COMPANY | 155 | $41K |
| Other(3 contracts) | METROPOLITAN LIFE INSURANCE COMPANY | 155 | $62K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 187 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.